4 June 2014
During a routine inspection
Is the service safe?
At the time of our visit the provider had been delivering a service to people for three weeks. Four people had received a service from three members of staff. A further member of staff had commenced an induction programme.
The provider had appropriate systems and processes in place with regard to safeguarding adults. Staff had received safeguarding training and were clear about their roles and responsibilities. The provider did not have a specific 'Mental Capacity Act (2005)' policy. However staff had received training and those we spoke with were able to demonstrate they understood the principles of the act.
Care records contained detailed risk assessments. Actions to minimise any risks identified were documented in people's care plans. Risk assessments balanced risk with the rights of people to maintain their independence. People told us that staff took care of them and made sure they were safe.
Is the service effective?
We saw that the provider had systems in place to ensure that quality monitoring would take place. We saw robust plans for audits, quality reviews, annual satisfaction surveys and analysis of incidents and complaints.
Care records were well written and reflected the needs and wishes of the people who received a service. People told us they were fully involved in developing their care plan. Daily records demonstrated that care workers delivered care in line with the care plan.
The provider had effective recruitment and selection policies and procedures that were implemented in practice.
Is the service caring?
We talked with two people who received a service. Both the people we spoke with said the service very good and caring. One person told us that, 'They (the care workers) are very attentive. They have time for the little important things'.
The provider had up to date policies and procedures which reflected current research and guidance. Staff had received training to meet the needs of the people who received a service. Staff we spoke with demonstrated that they were clear about their role and responsibilities.
Is the service responsive?
People had their needs assessed prior to receiving a service. The wishes of people were explored and care plans reflected both the needs and wishes of people.
People told us they were confident that any issue raised or complaint made would be thoroughly investigated and acted upon. The provider had systems in place to ensure the views of people who received the service and staff would be sought and acted upon.
Is the service well-led?
Staff we spoke with told us they felt well supported by the registered manager and the proprietor. They told us that there was a team approach to dealing with issues that arose.
All staff received a comprehensive induction programme, including supervised visits, prior to working alone. Staff had good access to a wide range of training relevant to their role.